小儿急性自发性颅内出血脑血管造影分析

Analysis of cerebral angiography in children with acute spontaneous intracerebral hemorrhage

目的探讨数字减影血管造影(DSA)在小儿脑血管疾病出血中的诊断价值和临床指导意义。方法回顾性分析18例小儿急性自发性颅内出血脑血管造影情况。结果脑实质出血11例中,发现动静脉畸形(AVM)7例,烟雾病2例,阴性结果 2例;脑室出血4例中,发现动静脉畸形(AVM)1例,烟雾病2例,阴性结果 1例;蛛网膜下腔出血3例中发现动静脉畸形(AVM)1例,烟雾病1例,阴性结果 1例。总计AVM9例(50.0%),烟雾病5例(27.8%),阴性结果 4例(22.2%)。结论 DSA对明确小儿急性自发性颅内出血诊断、制定合理的治疗方案有重要的指导意义。

Objective To investigate the diagnostic value and clinical significance of digital subtraction angiography（DSA） in the diagnosis of cerebral vascular diseases in children. Methods The clinical data about the examination results of cerebral angiography in 18 children patients with acute spontaneous intracerebral hemorrhage were retrospectively analyzed.Results Among 11 cases of cerebral parenchymal hemorrhage,there were 7 cases of arteriovenous malformations（AVM）,2 cases of moyamoya disease,and 2 cases with negative results. Among 4 cases of cerebroventricular haemorrhage,there was 1 case of arteriovenous malformations（AVM）,2 cases of moyamoya disease,and 1 cases with negative results. In 3 cases of subarachnoid hemorrhage,there was 1 case of arteriovenous malformations（AVM）,1 case of moyamoya disease,and 1 case with negative results. There were totally 9 cases of AVM（50. 0%）,5 cases of moyamoya disease（27. 8%）,and 4 cases（22. 2%） with negative results. Conclusion DSA is of great significance in the diagnosis and treatment of acute spontaneous intracerebral hemorrhage in children.